Physical Medicine & Rehabilitation

As the premier orthopedic and neurosurgical providers for Vancouver, Portland, Lake Oswego, and the surrounding areas for over 50 years, Rebound Orthopedics & Neurosurgery offers exceptional care from our fellowship-trained and board-certified physical medicine & rehabilitation doctors so you can rebound.

Physical medicine and rehabilitation, otherwise known as physiatry, is a specialized branch of medicine focused on the diagnosis, treatment, and prevention of illnesses or injuries that affect a patient's musculoskeletal and nervous systems and how they move. Physiatrists are medical experts that specialize in a variety of nonsurgical techniques to treat patients' joint, ligament, or tendon pain and typically use electrodiagnostic studies (EMG and NCV) to evaluate for injury or disease of the muscles, nerve roots, and peripheral nerves. 

Physical medicine and rehabilitation is a recognized medical specialty since 1946. Physical medicine and rehabilitation specialists, also called physiatrists, are trained in using minimally invasive procedures to treat musculoskeletal pain, injuries, and conditions of the nervous system/spine. Their approach combines conservative care as well as interventional techniques to relieve pain, improve function, and promote recovery without the need for surgery. Physiatrists use techniques such as spinal injections, facet ablations, joint injections, shockwave therapy, nerve blocks, and orthobiologic or regenerative techniques.

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Physicians’ Pavillion
200 Northeast Mother Joseph Place, Suite 305
Vancouver, WA 98664

Our experts understand how frustrating it can be when stubborn injuries persist and leave you with prolonged pain. We are proud to offer nonsurgical alternative treatments to help reduce pain and restore function. Please use the button below to explore our treatment options.

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When Is It Time to Consult a Physiatrist?

You might want to consult a physiatrist, also known as a physical medicine and rehabilitation physician, if you experience any of the following:

  • Acute injuries/pain: After an injury (e.g., from a sports injury or accident), a physiatrist can help create a customized treatment plan to enhance your recovery and consider non-invasive procedures or regenerative techniques.
  • Chronic injuries/pain: A physiatrist can assist in developing a plan to improve your quality of life and reduce your pain so you can get back to the activities you enjoy.
  • Nonsurgical treatment options: If you are seeking options to avoid surgery, physiatrists can evaluate whether injections or orthobiologic techniques would aid in your nonsurgical management.
  • Muscle weakness: If you have muscle weakness of an unknown cause, physiatrists can help diagnose the source—whether neurologic or musculoskeletal. Electrodiagnostics (EMG/NCS) are often used to aid in the diagnosis and to grade the severity of your condition so a treatment plan can be developed to help you return to the life you love.

If you are experiencing any of these issues or are unsure about the cause of your symptoms, it might be time to see a physiatrist. They also work closely with orthopedic surgeons and neurosurgeons and know when to refer for surgical management.

Some of the common conditions treated by physiatrists include:

  • Arthritis
  • Compressed, irritated, or damaged nerves
  • Herniated discs
  • Neck or back pain
  • Muscle injuries or damage
  • Sciatica
  • Numbness and tingling in the extremities
  • Sports-related injuries
  • Other musculoskeletal conditions
  • Complex regional pain syndrome
  • Pain after spinal surgery

We offer a wide range of nonsurgical procedures and leading-edge treatments to help patients recover and regain their quality of life.

Musculoskeletal Physiotherapy

  • Diagnostic ultrasound evaluation
  • Ultrasound-guided joint injections
  • Ultrasound-guided nerve blocks
  • Ultrasound-guided tendon/ligament/fascial injections
  • Ultrasound-guided perineural/hydrodissection injection
  • Cryoablation/iovera°

Neuromodulation

  • Spinal cord stimulation
  • Dorsal root ganglion stimulation
  • Peripheral nerve stimulation

Spine

  • Epidural injections
  • Facet joint injections
  • Medial branch blocks
  • Radiofrequency ablation

Our physical medicine and rehabilitation specialists understand that pain can have an impact on your lifestyle and keep you from living the life you love. To discuss your options, schedule a consultation with one of our physiatrists by calling 1-800-REBOUND or scheduling an appointment online. Our physiatry experts are available at our Vancouver, Rose Quarter, Salmon Creek, Camas, and Lake Oswego offices.

Our Team

The Region's Most Preferred Physical Medicine & Rehabilitation Care in Vancouver, Portland & Lake Oswego

At Rebound Orthopedics & Neurosurgery, our doctors and staff put patients first and are dedicated to providing compassionate, quality care. As the region's most preferred orthopedic practice, we are proud to be the official sports medicine providers for the US Ski and Snowboard teams and continuously strive for excellence.

Our fellowship-trained and board-certified physiatrists, Dr. Jerod Cottrill, Dr. David Impastato, Dr. John Kafrouni, Dr. Deven Karvelas, and Dr. Nicolas Karvelas have the skill and medical expertise to treat a wide variety of spine and sports injuries and conditions. Our physical medicine and rehabilitation doctors will always exhaust all conservative treatments before suggesting surgery. They have vast experience and specialize in ultrasound or fluoroscopic-guided injections, prolotherapy, shockwave therapy, lopogems (microfat transfers), tenotomy, and more.

To help facilitate a full and rapid recovery, our physiatrists take a team approach when it comes to patient-centered care, working in conjunction with our physical therapists and athletic trainers, who offer comprehensive physical therapy services. In addition, Dr. Edward Olson assists the team utilizing electrodiagnostic/nerve conduction testing to help diagnose and confirm nerve-related conditions to aid your treatment plan. Our goal is to provide an effective rehabilitation plan focused on your individual needs to help you resume a pain-free, active lifestyle.

If you're ready to discuss treatment options with one of our specialty-trained physiatrists, visit us in Vancouver at our Vancouver, Salmon Creek, or Camas locations; in Portland at our Rose Quarter location; or at our Lake Oswego location. You can schedule an appointment online or call us at 1-800-REBOUND.

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Be Seen Quickly & Safely for
All Your Orthopedic Needs

For urgent needs, be seen Monday – Friday* at our Rapid Access Clinics in Vancouver, Portland, and Lake Oswego.

If you have a recent injury, you can skip the ER and schedule a rapid appointment with one of our specialty-trained experts—fast. Call 1-800-REBOUND for your Rapid Access appointment.

*Based on availability

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